医学信息2026，Vol.39Issue(1)：59-64,6.DOI:10.3969/j.issn.1006-1959.2026.01.009
Charlson合并症指数对COPD患者院内死亡的影响分析
Analysis of the Effect of Charlson Comorbidity Index on In-hospital Death in Patients with COPD
摘要
Abstract
Objective To evaluate the impact of Charlson comorbidity index(CCI)on in-hospital mortality in patients with chronic obstructive pulmonary disease(COPD).Methods The clinical data of COPD patients aged≥40 years who were hospitalized in the First Affiliated Hospital of Guangzhou Medical University from January 2020 to December 2023 were retrospectively analyzed.According to the CCI score,they were divided into 0-1 score group and≥2 scores group.The demographic and disease characteristics of patients in different CCI groups were analyzed,and the influence of in-hospital death was analyzed by Logistic regression.Results Among the hospitalized patients with COPD,there were 7433 patients(62.56%)in the CCI value 0-1 score group and 4448 patients(37.44%)in the≥2 scores group.There were statistically significant differences in gender,age,number of hospitalizations,hospitalization expenses,hospital day,in-hospital death,transfer,and surgery among patients in different CCI groups(P<0.05).Univariate analysis showed that age,CCI score,number of hospitalizations,hospital day,and hospitalization expenses were associated with in-hospital death(P<0.05).Multivariate Logistic regression analysis showed that CCI score,age,number of hospitalizations,hospital day,and hospitalization expenses were independent predictors of in-hospital death.Conclusion CCI score is an important tool to predict the risk of in-hospital death in COPD patients.In clinical practice,the monitoring and management of complications in COPD patients should be strengthened to reduce the disease burden of patients.关键词
慢性阻塞性肺疾病/Charlson合并症指数/院内死亡Key words
Chronic obstructive pulmonary disease/Charlson comorbidity index/In-hospital death分类
医药卫生引用本文复制引用
程卓卓,张睿,徐浩枫,黄君庭,梁子敬,晏平..Charlson合并症指数对COPD患者院内死亡的影响分析[J].医学信息,2026,39(1):59-64,6.基金项目
1.广东省医学科学技术研究基金项目(编号:C2022101) （编号:C2022101）
2.广州市科技局市校(院)联合资助(登峰医院)项目(编号:202201020454) （院）
